FREQUENTLY ASKED QUESTIONS

2. FREQUENTLY ASKED QUESTIONS What is swine flu? Swine Influenza (swine flu) is a respiratory disease of pigs caused by type a influenza viruses that causes regular outbreaks in pigs. People do not normally get swine flu, but human infections can and do happen. Swine flu viruses have been reported to spread from person-to-person, but in the past, this transmission was limited and not sustained beyond three people.

3. FREQUENTLY ASKED QUESTIONS What are the signs and symptoms of swine flu in people? The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported: Diarrhea and vomiting can be associated with swine flu. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions.

4. FREQUENTLY ASKED QUESTIONS How does swine flu spread? Spread of swine influenza A (H1N1) virus is thought to be happening in the same way as that of seasonal flu. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose. Infected people may be able to infect others beginning 1 day before symptoms develop and up to 7 or more days after becoming sick.

5. How serious is it? At this time it appears this strain is a mild virus It may mutate eventually and become more serious WHO recommends treating this like seasonal influenza Consult a physician as early as possible

6. FREQUENTLY ASKED QUESTIONS How long can an infected person spread swine flu to others? People with swine influenza virus infection should be considered potentially contagious as long as they are symptomatic and possibly for up to 7 days following onset of illness. Children, especially younger children, might potentially be contagious for longer periods

7. FREQUENTLY ASKED QUESTIONS What surfaces are most likely to be sources of contamination? Germs can be spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth. Droplets from a cough or sneeze of an infected person move through the air.

8. FREQUENTLY ASKED QUESTIONS How long can viruses live outside the body? live 2 hours or longer on surfaces like cafeteria tables, doorknobs, and desks. Frequent hand washing will help reduce the chance of getting contamination from these common surfaces.

9. FREQUENTLY ASKED QUESTIONS Are there medicines to treat swine flu? Yes. The use of oseltamivir for the treatment and/or prevention of infection with these swine influenza viruses is recommended. Antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms).

10. What should I do to keep from getting the flu? First and most important: wash your hands frequently. Try to stay in good general health. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food. Avoid touching surfaces that may be contaminated with the flu virus. Avoid close contact with people having respiratory illness. FREQUENTLY ASKED QUESTIONS

11. Persons in home isolation and their household members should be giveninfection control instructions like frequent hand washing with soap and water; use of alcohol-based hand gels (containing at least 60%alcohol). When the ill person is within 6 feet of others at home, the ill personshould wear a facemask, if available or handkerchief or tissues.

12. Household contacts who are well should: remain home at the earliest sign of illness; minimize contact in the community to the extent possible; designate a single household family member as the ill person’s caregiver to minimize interactions with asymptomatic persons.

13. FREQUENTLY ASKED QUESTIONS What can I do to protect myself from getting sick?Currently available seasonal influenza vaccine does not protect against swine flu. There are everyday actions that can help prevent the spread of germs that cause respiratory illnesses like influenza. Take these everyday steps to protect your health: Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. Avoid touching your eyes, nose or mouth. Germs spread this way. Try to avoid close contact with people having respiratory illness. If one gets sick with influenza, one must stay at home, away from work or school and limit contact with others to keep from infecting them. However, if one is having any respiratory distress, one should report to a nearby hospital.

14. FREQUENTLY ASKED QUESTIONS What should I do if I get sick? If you live in areas where swine influenza cases have been identified and become ill with influenza-like symptoms e.g. fever, body aches, running nose, sore throat, nausea, or vomiting or diarrhea, you may contact the health care provider, particularly if you are worried about your symptoms. Your health care provider will determine whether influenza testing or treatment is needed. If you are sick, you should stay home and avoid contact with other people as much as possible to keep from spreading your illness to others.

15. FREQUENTLY ASKED QUESTIONS If you become ill and experience any of the following warning signs, seek emergency medical care. In children emergency warning signs that need urgent medical attention include: Fast breathing or troubled breathing Bluish skin colour Not drinking enough fluids/eating food Not waking up or not interacting Being so irritable that the child does not want to be held Flu-like symptoms improve but then return with fever and worse cough Fever with a rash

16. FREQUENTLY ASKED QUESTIONS In adults, emergency warning signs that need urgent medical attention include: Difficulty in breathing or shortness of breath Pain or pressure in the chest or abdomen Sudden dizziness Confusion Severe or persistent vomiting

17. FREQUENTLY ASKED QUESTIONS Can I get swine influenza from eating or preparing pork? No. swine influenza viruses are not spread by food. Eating properly handled and cooked pork products is safe.

18. PREVENTION & PRECAUTION

19. DIAGNOSIS OF SWINE FLU For diagnosis of swine influenza a infection, respiratory specimen would generally need to be collected within the first 4 to 5 days of illness (when an infected person is most likely to be shedding virus). However, some persons, especially children, may shed virus for 10 days or longer.

20. PREVENTIVE MEASURES There is currently no vaccine available against human swine influenza. One has to follow proper hand hygiene and respiratory etiquettes

21. SYMPTOMS OF SWINE FLU • Very similar to regular flu • Typically happens after regular flu season is over • Upper respiratory symptoms, may have nausea, vomiting, diarrhea • Some incidents of sudden dizziness • If feverish or have other flu-like symptoms, call your doctor or occupational health nurse! Try to avoid the emergency room or doctor’s office.

22. Precautions for School children: Schools with a confirmed or a suspected case should be considered for closure. All school or childcare related gatherings should be cancelled and encourage parents and students to avoid congregating outside of the school. Schools and childcare facilities should bar students for a time period to be evaluated on an ongoing basis depending upon epidemiological findings. Schools and childcare facilities should consult withtheir local or state health departments for guidance on reopening. If no additional confirmed or suspected cases are identified among students (or school-based personnel) for a period of 7 days, schools may consider reopening. Schools and childcare facilities in unaffected areas should begin to prepare for the possibility of school or childcare facility closure.

23. Do’s and Don’ts: Avoid close contact with people who are having respiratory illness. Sick persons should keep distance from others. If possible, stay at home, away from work, school, and public places when you are sick. Cover your mouth and nose with a tissue or handkerchief when coughing or sneezing. If you have no tissue or handkerchief you should not clean the nose with the hands but with the cuff of your shirt or clothes. Washing your hands often with soap or alcohol based hand wash will help protect from germs. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

24. Persons who develop influenza-like-illness (ILI) (fever with either cough or sore throat) should be strongly encouraged to self-isolate in their home for 7 days after the onset of illness or at least 24 hours after symptoms have resolved, whichever is longer. Persons who experience ILI and wish to seek medical care should contact their health care providers to report illness

25. Persons who have difficulty in breathing or shortness of breath should seek immediate medical attention and report to the nearby hospital. If ill persons mustgo into the community (e.g., to seek medical care) they should wear a face mask to reduce the risk of spreading the virus in the community. If a face mask is unavailable, ill persons needing to go into the community should use a handkerchief or tissues to cover any coughing and sneezing.